Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Physical Therapy, LLC

Organization Physical Therapy Clinic/Center · NPI 1982102620

Revive Physical Therapy, LLC is a Physical Therapy Clinic/Center in Gonzales, Louisiana. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12550 Airline Hwy Ste 102
Gonzales, LA 70737-2269
Phone: (985) 703-2412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1982102620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tanya Broussard — Credentialing Specialist · (337) 704-5611
NPI enumeratedJanuary 29, 2018
Last updated in NPPESJanuary 29, 2018
Mailing address3261 Effie Rd, Hester, LA 70743

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